Active NPI
Julie Anne Nachman
- Clinical Psychologist
- Round Rock, TX
National Provider Identifier
1174145056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 64003
- Practice address
- 1101 Satellite VW Unit 501
Round Rock, TX 78665-1591 - Phone
- (512) 293-4349
- NPI assigned
- May 13, 2020
- Last updated
- May 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 64003 | TX | Primary |
Addresses
Primary practice location
1101 Satellite VW Unit 501
Round Rock, TX 78665-1591
Mailing address
2109 Manada TRL
Cedar Park, TX 78641-2739
Phone (512) 293-4349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64003 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1174145056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 MANADA TRL",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786412739",
"telephone_number": "512-293-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 SATELLITE VW UNIT 501",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651591",
"telephone_number": "512-293-4349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NACHMAN",
"first_name": "JULIE",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "64003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.